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Appeals Specialist

Universal Health Services

Job Code:
  • Healthcare
  • Behavioral Health
  • Clinical Specialist
  • Ambulatory Care
Universal Health Services
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Job Details

Appeals Specialist

Job Code:  239480
Facility: Atlantic Region CBO
Travel Involved: None
Job Type: Full Time
Job Level:  Experienced (Non-Manager)
Minimum Education Required: High School or equivalent 
Skills: Health Care -> Accounting/Billing
Category: Office/Clerical
FTE: 1.00
Position Summary:

Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected healthcare management companies, operating through its subsidiaries acute care hospitals, behavioral health facilities and ambulatory centers nationwide. Founded in 1978, UHS subsidiaries now have more than 65,000 employees. The UHS business strategy is to build or purchase healthcare properties in rapidly growing markets and create a strong franchise based on exceptional service and effective cost control. Our success comes from a responsive management style and a service philosophy based on integrity, competence and compassion.

The primary responsibilities of the Appeals Specialist are the resolution of all appeals relating to technical issues identified during the billing of claims and the follow up on the clincial appeals performed by the facilities.

Essential Job Duties
1. Responsible for appeals relating to technical and clinical issues identified during the billing of claims
2. Works with HIM and facility clinicians to correct deficiencies in a timely manner
3. Identify problem accounts and trends. Escalate as appropriate.
4. Works with insurance companies to secure payment on account balances outstanding
5. Properly documents the patient account with actions taken to resolve issue.
6. Meet productivity standards and departmental goals and objectives.
7. Other duties as assigned.



The following are the job requirements for the Appeals Specialist Position:

1. The qualified candidate for this position must have the ability to work effectively with payers, patients, clinicians, HIM and other employees.
2. Ability to read and interpret medical records is required.
3 Experience working in healthcare and technical denials is required.
4. Providing service consistently exceeding expectations to both internal and external customers is a must.
5. Any candidate must have proficiency in Microsoft Office applications and others as required.
6. Must have the ability to prioritize needs and manage resources.
7. Minimum of one year of appeals experience is preferred.
8. Multi hospital business office experience preferred.

If you meet the above requirements and are looking for a rewarding career, please take a moment to share your background with us by applying on line. UHS offers competitive compensation commensurate with experience and benefits programs including medical, dental, life insurance and 401k.

UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

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